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Healthcare Integration

BHPI is making integrated healthcare a reality with our new Health:SHARE Solutions.

We have developed several different areas of focus for our health care integration initiative.

 

Primary Care Visits and Vitals Collection

Our primary care visits and vitals collection initiatives focus on: connecting members with primary care providers, getting them to have annual blood pressure tests to identify the risk of hypertension, and making them aware of the tools available to aid them with smoking cessation.

As part of this initiative, BHPI’s print and digital guide, For the Health of It, was designed to help educate consumers about available preventative health incentives and eliminate barriers to receiving care. This resource was created to meet the following goals:

  • Identify the appropriate health plan for each member and review the related pages in the guide.
  • Inform our members that various programs are available to them for taking steps toward better health. Let them know that by taking these actions, they can receive incentives such as gift cards. (Our incentive pages list incentives currently available through each plan.)
  • Initiate the appointment process. If members have difficulty, providers assist them with making appointments with physicians. If they don’t have a ride, providers use the numbers provided in the assistance sections to help them schedule transportation for appointments.

ADT Monitoring

Organizations can experience many benefits from successful Admission/Discharge/Transfer (ADT) notification monitoring. ADT messages are beneficial to organizations because they allow care team members and providers to be better informed about members’ hospital activities.

Members in our networks have a Behavioral Health Home. We’re working with the behavioral health providers to routinely contact members’ primary care physicians when an admission or discharge notice for one of their patients is received. The purpose of the contact is to determine if there is value in the behavioral health provider participating in the discharge and/or after-care planning for the member. We have developed an incentive payment plan that rewards providers that attain specific levels of compliance with the practice.

Care Coordination Through Referrals

Through our strategic partnership with Great Lakes Health Connect (GLHC), BHPI is working to facilitate improved care coordination between health systems, hospitals, physicians, payers, and behavioral health providers. The ultimate goal is to improve communication between care providers and efficiently facilitate the sharing of important health information about common members. Health Information Technology (HIT) makes better care of patients through the exchange of key health information a reality. GLHC names among its key advantages the power to connect primary care physicians and behavioral health care professionals across the state. The GLHC Referrals Application allows health systems, hospitals, physicians, payers, and behavioral health providers to place and receive referrals throughout Michigan. 

Healthcare Engagement Teams

We’re creating Healthcare Teams that pull together our staff, behavioral health providers’ staff, health plan staff, and physician’s office staff to “surround” specific patients with care. At the outset, we’re focusing on members with extremely high emergency room utilization, those with chronic care issues, and those that have no primary care physician visit history.

To learn more, please visit: healthsharesolutions.org/